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Louisiana rates for HCPCS 64636

Dstr Nrolytc Agnt Parverteb Fct Addl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.42 / $1,056.13 / $3,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$522.75 / $677.25 / $1,478.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.99 / $143.08 / $275.88
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$85.23 / $154.90 / $1,478.58
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$82.52 / $82.52 / $104.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.91 / $1,539.55 / $2,550.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.84 / $112.77 / $336.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.19 / $521.55 / $521.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.26 / $157.72 / $338.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.06 / $209.54 / $354.11